Provider Demographics
NPI:1457830549
Name:GARCIA MERCADO, DAMARIS (PHD)
Entity Type:Individual
Prefix:DR
First Name:DAMARIS
Middle Name:
Last Name:GARCIA MERCADO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PASEO TRIO VEGABAJENO TORREVISTA APTS
Mailing Address - Street 2:1104
Mailing Address - City:VEGA BAJA
Mailing Address - State:PR
Mailing Address - Zip Code:00693
Mailing Address - Country:US
Mailing Address - Phone:787-630-5171
Mailing Address - Fax:
Practice Address - Street 1:445 AVE GONZALEZ CLEMENTE VAL HARBOUR PLAZA
Practice Address - Street 2:SUITE 203
Practice Address - City:MAYAGUEZ
Practice Address - State:PR
Practice Address - Zip Code:00682-1136
Practice Address - Country:US
Practice Address - Phone:787-630-5171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-09
Last Update Date:2023-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR5802103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical